latenightreadcr

[latenightreadcr]

AO3 Comments are SO SO SOOOOOOO important because you can only leave Kudos ONCE. You add to the hit count ONCE (every 24 hours).

So whenever someone updates their fic, the ONLY way an author knows who their regular readers are is if they comment on each chapter. And we WANT to know who's still reading.

Believe it or not, some of us think about the name that pops up constantly in the comments and go "omg I can't wait to see what they think of THIS SPECIFIC SCENE cuz I KNOW they'll say something about it!!!"

[latenightreadcr]

i'm so excited for the brother's hawthorne! jameson's pov seems like a dream honestly. it's too good to be real? we're gonna see averyjameson in london! i'm expecting loads of domestic averyjameson and nashlibby breadcrumbs. i also can't wait for more sister moments between avery and libby AND more of nash. just my favourites thriving. i know there will be pain because it's jlb but i can't wait

#avery grambs #averyjameson #jameson hawthorne #the final gambit #nashlibby #the brothers hawthorne

[latenightreadcr]

THIS SOUNDS AMAZING

https://www.goodreads.com/book/show/62804238

NOT TO ALARM ANYONE BUT THE HAWTHORNES AND AVERYJAMESON BACK IN AUGUST 29 !!!!

#avery grambs #more averyjameson #more jameson

[latenightreadcr]

hoping it's set in the tig universe (because more nashlibby, averyjameson & xandermax!!)

#the final gambit #avery grambs #averyjameson #tfg #jameson hawthorne #nashlibby #xandermax

[latenightreadcr]

honestly kudos to jlb for not going down the typical route of throwing away a ship's development and growth just so the mc can end up with the other guy! so many authors fuck the first ship over but jlb has been with aj from the start and we love that! and i think we can stop calling tfg a love triangle, there is no other ship, just aj. admirable.

#the final gambit #tfg #averyjameson #avery grambs #jameson hawthorne

[latenightreadcr]

I've seen a lot of people compare tfg ships to certain popular ships from other fandoms. saw a post saying that if you ship x, you probably ship y & z. idk the logic behind it but i've disagreed with every single one of those posts.

the two ships i've seen being compared to aj repeatedly are warnette and delena. i've hated both ships from day one. the warnette comparison is especially baffling to me.

i've also seen ag been compared to stelena and they're nothing alike? (ag was one sided, had no chemistry, they had no future or even buildup unlike stelena which was a solid ship for three seasons) so again, huge no.

one could argue that tvd does have similarities with tfg, the whole triangle dynamic + dead ex history, the better man speech (which i think wasn't even necessary, jameson has always had a good heart!)

for avery it's always and only been jameson. no back or forth, no indecisiveness. she fell in love with him, chose him & stayed with him. in conclusion, averyjameson belong in a league of their own. they are the moment.

#the final gambit #averyjameson #avery grambs #jameson hawthorne

[latenightreadcr]

what are the chances that one of jlb's secret projects is a nashlibby or averyjameson novella? 👀 nashlibby in particular deserve more content and i wouldn't complain either if we got more aj scenes.

#the final gambit #averyjameson #jameson hawthorne #avery grambs

[latenightreadcr]

the final gambit spoilers!!

friendly reminder that the love triangle,as far as her choice goes,was solved at the end of the hawthorne legacy.so no,whatever the author did with grayson’s character wasn’t to solve it.it was already done and avery had made her choice.grayson never stood a chance after the second book’s ending.stop blaming jlb

[latenightreadcr]

[latenightreadcr]

Hi! I really enjoy your blog and I would like to ask a question. My character is going to get shot in the stomach and survive. Where would the bullet have to hit to keep them alive and how long would they able to last without medical assistance? Thanks

Hey! Thanks for reading!

There’s already a tag going for abdominal trauma, so I’d start there, and by the time this posts there *should* be a masterpost on it! Huzzah!

In terms of a survivable abdominal wound, can I cheat a little? A gunshot wound that lodges in the ribs or in the hip would be very survivable. Alternatively, if the character is shot from the side, and the bullet goes through the abdominal muscle and fat from side to side but doesn’t puncture the peritoneum–the membrane that holds the abdomen together on the inside–that should be okay, and heal quickly. 

If your character has access to medical care and a surgeon, a gunshot to the upper left of the abdomen just under the ribs would puncture the spleen. Lots of bleeding, lots of drama, including having the spleen removed, but it’s a survivable wound, too.

Good luck!

[latenightreadcr]

Hi! I'm currently working on a story where one of the main characters gets shot. She's 18, in great health and shape since she has also been trained to be an MMA fighter. She gets shot about two to three weeks before her graduation depending on where she gets shot. She gets shot in either her abdomen or just in her side. I have a couple of questions regarding this: The first: What would be the hospital procedure for the abdomen wound? The side? (1/?)

The second: How long would her recovery be for the injuries? How long until she would be mobile? And would she be able to continue to be an MMA fighter once she heals? (2/2)  [Aunt Scripty’s Note: at follow-up the author was referring to a back-to-front GSW in the lateral abdomen when she says “shot in the side”.]    

Hey there! So first of all, thank you for the specifics about age and gender and general health–they help a lot! There’s a lot of bias in writing toward young, healthy individuals, which is kind of the opposite of the bias in medicine–we tend to see a lot of the old and the sick :)

Now, on to your MMA fighter! I’m going to assume that you want her to be healthy enough to graduate?

For a GSW, try a gunshot to the upper left of the abdomen, just under the diaphragm. What we’re looking for here is a gunshot to the spleen, which is one of those pesky organs that bleeds like hell but you can live a normal life without. As to the specific care for a splenic injury, it’s going to depend on the injury itself, but a typical course would look like this:

EMS arrives, sees the GSW, apply a bandage, get vitals, start an IV, and goes to a trauma center. They call ahead (usually by radio) so the hospital knows what’s coming.

In the ER she’ll get a trauma exam, including getting her whole body looked at for further entry and exit wounds. Depending on her vitals, they might call for blood products. They’ll certainly draw labs and maybe start a second IV if they think she’ll need it; EMS/ER are fans of 2 BIG IVs.

She’ll get a FAST exam, which is an ultrasound looking for blood in the abdomen. If they go very old-school, someone may check rectal tone (by inserting a gloved, lubricated finger into the anal sphincter).

That whole process should take no more than 5-10 minutes, until she’s off to the CT scanner to try to get a visual on the mischief in the abdomen. (That’s one of my very favorite things in vernacular British medicine: “We’ve got some mischief in the abdomen.” No, you have significant internal fucking hemorrhage. Oh, UK doctors, how do I love thee? Let me count the ways….)

By the way, this is definitely a CT scan, not an MRI, because bullets + magnets = BAD DAY.

There’s a split pathway here regarding splenic injury. Most docs don’t want to operate, and especially not to remove the spleen. But they may have to if she keeps bleeding. The typical cutoff for when surgery becomes necessary is after she’s needed 2 units of blood transfusion. At that point, the spleen won’t stop bleeding on its own.

Surgically, there are two options: laparotomy–going in through the abdomen and taking out the spleen–or angioembolization, where they’ll thread a catheter through her groin, put her in a CT scanner so they can watch the procedure under fluoroscopy (moving X-rays/CTs, just like for a coronary angiogram after a heart attack), thread the catheter into the splenic artery, and deliberately occlude it. The idea here is to kill the spleen without removing it; it will just shrink in the abdomen over time, but it eliminates the surgical scarring from a laparotomy and it may be safer, because the abdomen is closed.

She’ll probably be in the hospital 3-7 days in total, with a total recovery time of maybe 3-6 weeks? (No real literature on this one, so this is a guess). Recovery for splenectomy is about 4-8 weeks, but with angioembolization she could still dramatically lose the spleen and make it to graduation on time.

My best guess is that she’d be back on her feet in about a week, and even if she has some issues, she could at the very least make it to graduation in a wheelchair.

And remember…

Oh, and one extra tibdit of interest, culled from WebMD:

Up to 30% of people have a second spleen (called an accessory spleen). These are usually very small, but may grow and function when the main spleen is removed. Rarely, a piece of the spleen may break off with trauma, such as after a car accident. If the spleen is removed, this piece can grow and function.

So she may even have (some) splenic function down the line.

As to her MMA career, I’m going to say yes, she can be an MMA fighter once she’s physically healed enough. I would tell her to stay off the kickboxing for at least 3 weeks, because the artery in her leg needs time to heal.

Hope this was helpy and usefulness!

xoxo, Aunt Scripty

disclaimer    

The Script Medic is supported bygenerous donations on Patreon. Have you considered donating?

[latenightreadcr]

Hi! I'm currently working on a story where one of the main characters gets shot. She's 18, in great health and shape since she has also been trained to be an MMA fighter. She gets shot about two to three weeks before her graduation depending on where she gets shot. She gets shot in either her abdomen or just in her side. I have a couple of questions regarding this: The first: What would be the hospital procedure for the abdomen wound? The side? (1/?)

The second: How long would her recovery be for the injuries? How long until she would be mobile? And would she be able to continue to be an MMA fighter once she heals? (2/2)  [Aunt Scripty’s Note: at follow-up the author was referring to a back-to-front GSW in the lateral abdomen when she says “shot in the side”.]    

Hey there! So first of all, thank you for the specifics about age and gender and general health–they help a lot! There’s a lot of bias in writing toward young, healthy individuals, which is kind of the opposite of the bias in medicine–we tend to see a lot of the old and the sick :)

Now, on to your MMA fighter! I’m going to assume that you want her to be healthy enough to graduate?

For a GSW, try a gunshot to the upper left of the abdomen, just under the diaphragm. What we’re looking for here is a gunshot to the spleen, which is one of those pesky organs that bleeds like hell but you can live a normal life without. As to the specific care for a splenic injury, it’s going to depend on the injury itself, but a typical course would look like this:

EMS arrives, sees the GSW, apply a bandage, get vitals, start an IV, and goes to a trauma center. They call ahead (usually by radio) so the hospital knows what’s coming.

In the ER she’ll get a trauma exam, including getting her whole body looked at for further entry and exit wounds. Depending on her vitals, they might call for blood products. They’ll certainly draw labs and maybe start a second IV if they think she’ll need it; EMS/ER are fans of 2 BIG IVs.

She’ll get a FAST exam, which is an ultrasound looking for blood in the abdomen. If they go very old-school, someone may check rectal tone (by inserting a gloved, lubricated finger into the anal sphincter).

That whole process should take no more than 5-10 minutes, until she’s off to the CT scanner to try to get a visual on the mischief in the abdomen. (That’s one of my very favorite things in vernacular British medicine: “We’ve got some mischief in the abdomen.” No, you have significant internal fucking hemorrhage. Oh, UK doctors, how do I love thee? Let me count the ways….)

By the way, this is definitely a CT scan, not an MRI, because bullets + magnets = BAD DAY.

There’s a split pathway here regarding splenic injury. Most docs don’t want to operate, and especially not to remove the spleen. But they may have to if she keeps bleeding. The typical cutoff for when surgery becomes necessary is after she’s needed 2 units of blood transfusion. At that point, the spleen won’t stop bleeding on its own.

Surgically, there are two options: laparotomy–going in through the abdomen and taking out the spleen–or angioembolization, where they’ll thread a catheter through her groin, put her in a CT scanner so they can watch the procedure under fluoroscopy (moving X-rays/CTs, just like for a coronary angiogram after a heart attack), thread the catheter into the splenic artery, and deliberately occlude it. The idea here is to kill the spleen without removing it; it will just shrink in the abdomen over time, but it eliminates the surgical scarring from a laparotomy and it may be safer, because the abdomen is closed.

She’ll probably be in the hospital 3-7 days in total, with a total recovery time of maybe 3-6 weeks? (No real literature on this one, so this is a guess). Recovery for splenectomy is about 4-8 weeks, but with angioembolization she could still dramatically lose the spleen and make it to graduation on time.

My best guess is that she’d be back on her feet in about a week, and even if she has some issues, she could at the very least make it to graduation in a wheelchair.

And remember…

Oh, and one extra tibdit of interest, culled from WebMD:

Up to 30% of people have a second spleen (called an accessory spleen). These are usually very small, but may grow and function when the main spleen is removed. Rarely, a piece of the spleen may break off with trauma, such as after a car accident. If the spleen is removed, this piece can grow and function.

So she may even have (some) splenic function down the line.

As to her MMA career, I’m going to say yes, she can be an MMA fighter once she’s physically healed enough. I would tell her to stay off the kickboxing for at least 3 weeks, because the artery in her leg needs time to heal.

Hope this was helpy and usefulness!

xoxo, Aunt Scripty

disclaimer    

The Script Medic is supported bygenerous donations on Patreon. Have you considered donating?